St. Louis Avian Rescue (STAR)

Foster/Volunteer Application

ANY APPLICATIONS NOT FILLED OUT COMPLETELY WILL NOT BE CONSIDERED!

Thank you for taking the time to complete this application form in its entirety.  The information provided will help us understand your home environment, as well as your qualifications and interests.  Do not hesitate to call with questions or assistance in completing this form.  Please be as thorough and precise as possible.  We will be checking ALL veterinary references, and we ask that you notify your clinic so they can release information to our organization.

We reserve the right to refuse an applicant.

Due to limited volunteer time, we review applications twice a month.  Your patience is appreciated. 

Approved applicants will be placed on our mailing list for updates and special events (program use only).

 

Date:                                       

CONTACT INFORMATION:

Name:

     

Address:

     

City, State, Zip Code:

     

Home Phone:

     

Cell Phone:

     

Work Phone:

     

E-mail:

     

What is the best way to reach you?      ______________                            

VOLUNTEER INTERESTS:

In what way are you interested in helping – adoption/special events, fostering, fundraising, phone calls, transporting, etc?

                                                                                                                                                                                                                

                                                                                                                                                                                                                

                                                                                                                                                                                                                

RESIDENTIAL INFORMATION:

Type of residence:  House           Condo          Apartment          Other      

How many people who reside in or visit your home smoke cigarettes or use other nicotine products?     ___

FAMILY DEMOGRAPHICS:

Family members residing in home including yourself:              

Name (including yourself)

Age

Relationship to you

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

Does anyone in your household have allergies or asthma?      ____                                                               _______                

 

Please tell us about your bird experience:      ________________                                       _____________________                

                             __________________________________________                                       _____________________                

                             __________________________________________                                       _____________________                

Are you aware that exotic birds may carry diseases that can infect humans? Yes    No

 

Do you use scented plug-ins, air fresheners, candles, etc?      __                                                                   _______

 

Do you use nonstick coated cookware? Yes    No

 

Do you currently have any birds?  Yes    No      If yes, please list:

Name

Species

Age

Sex - if known

How long have you had this bird?

Date of last

vet visit

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

How often do you clean the cage?                                                                                                                                   

 

How do you disinfect the cage?                                                                                                                                        

 

How much time does your bird spend alone?                                                                                                                

 

How much time does your bird spend outside the cage each day?      ___________________________________

 

What kinds of foods do you feed your own bird(s)?

Pellets          Seeds          Nuts          Bird Treats          Fruits          Vegetables         

Cooked Foods          Table Foods         Snack Foods

 

Describe your bird’s sleeping habits, including bedtime, wake-up time, nap time, and hours of sleep each day:

                                                                                                                                                                                                

                                                                                                                                                                                                

Describe your bird’s bathing habits, including frequency, likes, and dislikes:                                                          

                                                                                                                                                                                                

Do you currently have an avian veterinarian?   Yes    No      If yes, please provide contact information:

Clinic Name:

     

Avian Vet’s Name:

     

Address:

     

City, State, Zip Code:

     

Phone:

     

 

Do you currently have pets other than birds?   Yes    No      If yes, please list:

Name

Species/Breed

Age

Spayed/

Neutered?

De-clawed?

Indoor

or

Outdoor

How long

have you had

this animal?

Date of last vet visit

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

Have you ever had any pets you no longer have?  Yes    No      If yes, please explain the circumstances.

                                                                                                                                                                                                                

                                                                                                                                                                                                                

                                                                                                                                                                                                                

Are you agreeable to having a representative visit you in your home prior to fostering?                     

 

FOSTERING INFORMATION:

If you are interested in fostering, what kind of birds would you be comfortable with?

Small Birds (Finches, Budgies, Cockatiels, smaller Conures, etc.)

Medium Birds (larger Conures, Indian Ringnecks, smaller Amazons, etc.)

Large Birds (African Greys, larger Amazons, smaller Cockatoos, etc.)

Extra-Large Birds (large Cockatoos, Macaws, etc.)

Yes    No

Yes    No

Yes    No

Yes    No

Is there a species which you do not wish to foster?                                                                                                                      

                                                                                                                                                                                                                

Can you intake a bird and quarantine it?         

 

Are you able to handle birds with behavior problems?                                

 

Are there specific behavior problems you would not be comfortable dealing with?                                                             

                                                                                                                                                                                                                

Are you willing to show the foster birds to well-screened, qualified potential adopters in your home?      ___

 

Do you mind if potential adopters call you for information on the temperament of the foster bird(s)?      ____

 

Additional comments?                                                                                                                                                                        

                                                                                                                                                                                                                

                                                                                                                                                                                                                

                                                                                                                                                                                                                

 

FOSTER/VOLUNTEER AGREEMENT

PLEASE READ CAREFULLY.  This is not meant to intimidate you nor to cast a negative light on exotic birds.  Rescued birds are no more and no less likely to behave in an aggressive or unpredictable manner than any others.  But, we want to make you aware of possibilities when working with them.

 

The birds St. Louis Avian Rescue (STAR) places in foster homes have been surrendered, abandoned, or in some way displaced.  They may have been abused or neglected.  There may only be limited information available regarding their previous environment.  STAR will share with you what information we have.  There will be an adjustment period.  Remember to be patient, consistent, and understanding.

 

The birds placed in foster homes may not have been seen yet by a veterinarian.  Avian medicine is a relatively new discipline.  It is possible for a bird to be a carrier of, or infected with, a disease that is undetectable with the current tests and tools available today.  Therefore, you should quarantine any bird new to your flock.  STAR recommends a period of at least 30 days – 90 would be even better.

 

If a bird is placed with you, you will be responsible for providing appropriate food, water, and loving attention.  STAR will provide pelleted food or seed mix whenever possible for all rescued birds in foster care.  STAR will be financially responsible for the veterinary care.  However, you will need to provide transportation to and from the clinic.

 

I certify that I have never been charged with nor convicted of animal abuse or neglect in Missouri or any other state.  I certify that no one in the household where this bird would reside has been charged with nor convicted of animal abuse or neglect in Missouri or any other state.                                (Please Initial)

 

I understand STAR is actively seeking a permanent home for any bird placed in foster care.  I certify that I will return to Perfectly Precious, upon request,  any bird placed in my home for foster care. 

 

I, the undersigned, acknowledge there are risks in visiting, housing,  and/or handling exotic birds, including illness or injury to pets or myself, and/or damage to my property.  I agree to release St. Louis Avian Rescue, from any liability in the event.

 

 

                                                                                                                                                                                                       

       Signature                                                                       Print Name                                                         Date

 

 

Please complete and e-mail to staravianrescue@gmail.com

Or mail to:

STAR

PO Box 732

Manchester, MO 63011

 

mjc • 8/08